Dismantling racism in education: In 2020, the year of the nurse &amp; midwife, “it's time.”

Burnett, Alicia; Moorley, Calvin; Grant, Julian; Kahin, Mushtag; Sagoo, Rohit; Rivers, Emerald; Deravin, Linda; Darbyshire, Philip

doi:10.1016/j.nedt.2020.104532

Cited by 36 publications

(26 citation statements)

References 24 publications

(42 reference statements)

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“…Although nurses were aware of relevant guidelines, the application of guidelines is based upon individual judgement within unique social and organisational contexts (Munro, 2018). Furthermore, guidelines are produced and enacted in health systems that perpetuate structural inequalities and institutional racism (Burnett et al ., 2020; Gerlach and Varcoe, 2020), both of which contribute to disadvantage that is linked to child abuse. In this context, the findings suggest that nurses need ongoing support to reflect critically on the quality of their decision‐making (Munro, 2018) and to develop inclusive practices that address root causes of disadvantage, marginalisation and inequality (Burnett et al ., 2020).…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, guidelines are produced and enacted in health systems that perpetuate structural inequalities and institutional racism (Burnett et al ., 2020; Gerlach and Varcoe, 2020), both of which contribute to disadvantage that is linked to child abuse. In this context, the findings suggest that nurses need ongoing support to reflect critically on the quality of their decision‐making (Munro, 2018) and to develop inclusive practices that address root causes of disadvantage, marginalisation and inequality (Burnett et al ., 2020). For nurses, this may include education around the use of critical reflection to develop practice, and the provision of time and organisational support to facilitate application of these skills.…”

Section: Discussionmentioning

confidence: 99%

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Constructing a Compelling Case: Nurses' Experiences of Communicating Abuse and Neglect

2021

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Child abuse and neglect is a complex problem that needs to be addressed through a multidisciplinary approach. Nurses internationally have frequent contact with children and are ideally placed to respond to children experiencing abuse and neglect. Nurses' roles can include reporting abuse to child protection services (CPS). This paper reports on one aspect of the findings of a qualitative study exploring Australian nurses' perceptions and experiences of keeping children safe from abuse. Specifically, this paper reports on the theme relating to nurses' experiences of communicating their concerns to CPS and the family when reporting abuse and neglect. This qualitative study was underpinned by social constructionism, with data collected through semi-structured interviews with 21 nurses working with children in Australia. Key findings reported are: (1) being heard; (2) [feeling] disappointed, discouraged and disenfranchised; and (3) managing tensions between engagement and reporting. Nurses at times perceived that they were not taken seriously by CPS and felt powerless to enact change for children. Nurses subsequently had to decide how, and if, to discuss their report with families to mitigate negative reactions and maintain engagement. This study highlights the need for more effective multidisciplinary collaboration between nurses and CPS to promote change for children affected by abuse in Australia.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Constructing a Compelling Case: Nurses' Experiences of Communicating Abuse and Neglect

2021

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“…26 The history of structural racism in health care and nursing education shows that racism is rarely called out, named, or openly discussed. Nursing educators have recommended four key changes for immediate implementation in the curriculum to overcome structural, individual, and ideological racism (SIIR), and to facilitate a successful, decolonized, all-inclusive nursing curriculum: 27 1. Learning resources must reflect multiple ethnicities to account for differences (eg, jaundice) and similarities in assessment and diagnosis; 2.…”

Section: Nursing Educationmentioning

confidence: 99%

“…30 Dismantling racism in nursing education cannot be accomplished singularly or as a transient movement, it must be an ongoing requirement for every nurse. 27…”

Section: Nursing Educationmentioning

confidence: 99%

The Rx-HEART Framework to Address Health Equity and Racism Within Pharmacy Education

Butler

Arya

Nonyel

et al. 2021

American Journal of Pharmaceutical Education

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The objectives of this paper are to identify current gaps in health equity and anti-racism education across the pharmacy curriculum, define the key health equity and anti-racism concepts that are suggested to be included across the pharmacy curriculum, and recommend a framework with steps to integrate health equity and anti-racism education across the pharmacy curriculum. Findings. Other professions such as social work, nursing, and medicine have taken steps to address social injustice by integrating anti-racism into their curriculum. The National Association of Social Workers (NASW) advocates for "social justice and social change with and on behalf of clients" and included racism and health equity in its mission to eradicate "discrimination, oppression, poverty, and other forms of social injustice." The American Association of Colleges of Nursing (AACN) curricular standards for baccalaureate nursing education provided four key changes for immediate change in the curriculum to overcome structural, individual, and ideological racism (SIIR). In October 2020, the Association of American Medical Colleges (AAMC) released a four-pillar framework to address racism. Summary. The pharmacy profession must follow suit in the efforts to eradicate social injustices by incorporating into its curriculum topics that would result in the graduation of culturally and linguistically sensitive, and structurally competent pharmacists. This five-phase framework, Rx-HEART (Pharmacy Health Equity Anti-Racism Training) aims to provide guidance to the pharmacy academy on how to accomplish the set objectives of this paper and the themed issue on social injustice.

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“…It speaks volumes about the ethos of many hospitals and health services that this statement can sound so revolutionary. If nursing were serious about ending racism, nurses would take effective and specific action to dismantle this particular plank of structural discrimination (Burnett et al, 2020)-hair racism. We argue that all nurses have a responsibility to challenge the micromanaging, racist dimensions of dress codes that brand black hairstyles as unacceptable.…”

Section: Coll Abor Ating To End Hair R Aci S Mmentioning

confidence: 99%

Time for nursing to eradicate hair discrimination

Cox

Sobrany

Jenkins

et al. 2021

Journal of Clinical Nursing

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Nurses worldwide have been rightly lauded for their tireless contributions during the global COVID-19 pandemic. Amid a serious global shortage, nursing remains plagued by recruitment and retention problems as it struggles to attract, educate and retain the best potential nurses who reflect the diverse composition of their communities. The world has been shaken by the Black Lives Matter movement and the growing awareness that many health professions and workplaces are pervasively white, structurally and systemically racist and must change to become welcoming, encouraging places for all members of society. Amid all of this, it is incomprehensible that black nurses in particular continue to be subjected to organisations' discriminatory 'hair policies' (Grant, 2018).Black nursing students might believe that they have left behind at school, the scorn and disparagement of peers and teachers that their hair evoked (Belsha, 2020). The reality for many, however, is that they have merely entered a new theatre of 'hair racism' and cultural violence where they are expected to apologise for, hide, or in the worst cases, cut-off their dreads, braids or other styles of black hair. Organisations that ban brightly coloured or 'non-natural' hair colours are merely ludicrous. Far more disturbing are organisations and corporate policies that disproportionately target black nurses by proscribing predominantly black hairstyles that white supremacy (Davis & Ernst, 2019) designates as being extreme, distracting, unruly, loud, too big, unsafe or unprofessional (Ellis & Jones, 2019;Grant, 2018). It seems from the behaviour of some health services that little progress has been made since the days of slavery and missionary schools, where natural black hair was 'unsightly, ungodly and untameable' (Gatwiri, 2018). Today's corporate organisations may

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Dismantling racism in education: In 2020, the year of the nurse & midwife, “it's time.”

Cited by 36 publications

References 24 publications

Constructing a Compelling Case: Nurses' Experiences of Communicating Abuse and Neglect

Constructing a Compelling Case: Nurses' Experiences of Communicating Abuse and Neglect

The Rx-HEART Framework to Address Health Equity and Racism Within Pharmacy Education

Time for nursing to eradicate hair discrimination

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